预热对维持外科手术期间体温的影响:一项随机临床试验
Vanessa de Brito Poveda1, Juliana Rizzo Gnatta1, Cassiane de Santana Lemos2
1Medical Surgical Department, School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
概括
使用强制空气系统20分钟预热手术患者最好保持体温并改善热舒适度. 这种外科手术期间的干预减少了腹部手术患者体温下降和术后寒的发生率.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 手术患者护理手术患者护理
背景情况:
- 在手术期间保持正常热量对于患者的治疗结果至关重要.
- 低温会导致并发症,如增加血液流失和延迟恢复.
- 预热是一种预防手术内低温的策略.
研究的目的:
- 为了评估预热在腹部手术期间对体温的影响.
- 在预热干预后评估患者的热舒适度.
- 为了比较不同的预热时间和方法.
主要方法:
- 一项随机对照试验,涉及99名接受腹部手术的成年患者.
- 研究了三个组:对照组 (标准护理),20分钟的强制空气预热和30分钟的强制空气预热.
- 监测身体中心温度,并自我报告热舒适度.
主要成果:
- 20分钟的强迫空气预热组在维持体温方面显示出最大的好处.
- 接受预热的患者在麻醉后报告了显著更高的热舒适度.
- 没有观察到低于36°C的温度有显著差异,但预热减少了寒.
结论:
- 用强制空气系统预热腹部手术患者20分钟是有效的.
- 这种干预改善了手术期间的温度维持和患者的热舒适度.
- 预热是提高外科手术期间护理和患者体验的宝贵策略.
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